Beyond self-assessment--assessing organizational cultural responsiveness

While there is growing recognition of the need for health care organizations to provide culturally responsive care, appropriate strategies for assessing organizational responsiveness have not been determined. A document review assessment instrument was designed to assess best practice within eight domains, and along seven dimensions of organizational approach to diversity. Results obtained from the pilot of the instrument were congruent with data collected from key informant interviews, a focus group, observational methods and organizational feedback session; however, they were not consistent with self-assessment results at the same site. A larger pilot is required to determine generalizability of results.